20D2326956 CLIA NUMBER - MAINEHEALTH NEPHROLOGY BELFAST

Laboratory Demographics

  • CLIA Code: 20D2326956
  • Facility Name: MAINEHEALTH NEPHROLOGY BELFAST
  • Facility Address: 125 NORTHPORT AVE STE 106
    BELFAST, ME
    ZIP 04915
  • Facility Phone: 207 301-8480
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELIZABETH THOMPSON
  • NPI Number: 1184944878
  • Taxonomy: 275N00000X - Medicare Defined Swing Bed Unit

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CLIA Record

Field Name Field Value
CLIA Number 20D2326956
LAB Type Physician Office
Facility Name MAINEHEALTH NEPHROLOGY BELFAST
Street 125 NORTHPORT AVE STE 106
City BELFAST
State ME
ZIP 04915
Phone 207 301-8480
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2025
Certificate Expiration Date 7/13/2027
Facility Type Physician Office
Lab Director ELIZABETH THOMPSON

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This page was last updated on: 9/29/2025